SI-MNH-284G 
6 - 23-67 
PMS LABORATORY FORM 
Species 
Ciki/Uw* Number 
„ , | 2 IliiP iL, 
Dates: processed collected 
Locality 
Z~) 
Sex __xJ (dissection plumage* soft parts \ 
Age 1 — — skull plumage soft parts ^ 
Weight Fat 
Molt- 
Disposition: ( skin skelton alcoholic discard) Preparator: 
Ectoparasite Exam: Visual JaTC Other ___ 
Ectoparasites 
Ectoparasite Virus R.eport 
Blood Sample: Single Pool I ! tt 
Plasma Analysis Tests: VI HI N 
Plasma Virus Report. VI: Negative Positive Virus 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
Remarks 
